Wilder Robert P, Jones Elizabeth V, Wind Tyler C, Edlich Richard
Associate Professor of Physical Medicine and Rehabilitation; Director, Division of Spine and Sports Care; Medical Director, The Runner's Clinic at University of Virginia Health Sciences System, Charlottesville, Virginia.
Department of Plastic Surgery, University of Virginia Health System, Charlottesville, VA 22908-0376.
J Long Term Eff Med Implants. 2017;27(2-4):279-292. doi: 10.1615/JLongTermEffMedImplants.v27.i2-4.110.
The purpose of this collective review on functional electrical stimulation (FES) cycle ergometer training is to describe the pathologic effects of spinal cord injury (SCI) and the structure and function of the FES cycle ergometers, which reverse the devastating systemic and life-threatening effects of SCI. The pathophysiologic consequences of SCI include diminished cardiopulmonary and circulatory function as well as lower extremity muscle atrophy and bone mass reduction. Clinical studies have demonstrated that the two FES cycle ergometers offer promise in reversing these devastating consequences of SCI, which can shorten patients' lives. On the basis of this collective review, it is recommended that all patients with SCI have the benefits of this potentially life-sustaining clinical modality.
本次关于功能性电刺激（FES）自行车测力计训练的综述目的在于描述脊髓损伤（SCI）的病理影响以及FES自行车测力计的结构与功能，后者可逆转SCI带来的严重全身性及危及生命的影响。SCI的病理生理后果包括心肺和循环功能减退以及下肢肌肉萎缩和骨量减少。临床研究表明，这两种FES自行车测力计有望逆转SCI的这些严重后果，而这些后果可能会缩短患者寿命。基于本次综述，建议所有脊髓损伤患者都能受益于这种具有潜在维持生命作用的临床治疗方式。
